RESUMO
A 61-year-old Black housewife, discovered to be hypertensive 37 years previously, was found to have coarctation of the proximal descending aorta. This disorder is only rarely diagnosed beyond the sixth decade. A coarctation of the aorta is uncommon and may remain undetected as a cause ofd secondary hypertension in adults, this case highlights the need for proper physical evaluation in all patients. The assumption that coarctation of the aorta is rare in Blacks may be due to inadequate diagnostic facilities available to this population (AU)
Assuntos
Feminino , Humanos , Pessoa de Meia-Idade , Coartação Aórtica/complicações , Hipertensão/etiologiaRESUMO
The clinical and pathological features of 9 cases of congenital mitral atresia are described. Six cases were associated with aortic atresia or hypoplasia and one with transposition of the great vessels. The usual clinical presentation was sudden onset of dyspnoea and cyanosis in the neonatal period followed by rapid deterioration, a picture producing diagnostic difficulties that are often increased because of coexisting cardiac anomalies. A correct anatomical diagnosis can be made at necrops by careful inspection of the heart and great vessel, aided in some cases by microscopical examination.(AU)